Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence : results from a Finnish national cohort study

Autor: Camilla Böckelman, Sinikka Salmenkylä, Valtteri Kairaluoma, Jaan Kirss, Tero Rautio, P. Varpe, Matti Kairaluoma, Marja Hyöty, Tarja Pinta, Mikael Victorzon, Saija Hurme
Přispěvatelé: University of Helsinki, Clinicum, HUS Abdominal Center
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
STIMULATION
Anal Canal
Cohort Studies
Endoanal ultrasound
0302 clinical medicine
ULTRASONOGRAPHY
Fecal incontinence
INTACT ANAL-SPHINCTER
Finland
digestive
oral
and skin physiology
Gastroenterology
Obstetric anal sphincter injury
DEFECTS
Middle Aged
Anal canal
3. Good health
PREVALENCE
Treatment Outcome
medicine.anatomical_structure
PREDICTIVE FACTORS
030220 oncology & carcinogenesis
Female
030211 gastroenterology & hepatology
medicine.symptom
Cohort study
Sacrum
medicine.medical_specialty
Manometry
Electric Stimulation Therapy
PERCUTANEOUS NERVE EVALUATION
Lesion
03 medical and health sciences
Internal medicine
medicine
INJURY
MANAGEMENT
Humans
MODULATION
Wound Healing
Anal sphincter repair
business.industry
Sacral neuromodulation
Faecal incontinence
Hepatology
3126 Surgery
anesthesiology
intensive care
radiology
Surgery
3121 General medicine
internal medicine and other clinical medicine
Sphincter
business
Fecal Incontinence
Popis: PurposeThe aim of this multicentre study was to analyse the effects of patent sphincter lesions and previous sphincter repair on the results of sacral neuromodulation (SNM) treatment on patients with faecal incontinence (FI).MethodsPatients examined by endoanal ultrasound (EAUS) with FI as the indication for SNM treatment were included in the study. Data was collected from all the centres providing SNM treatment in Finland and analysed for differences in treatment outcomes.ResultsA total of 237 patients treated for incontinence with SNM had been examined by EAUS. Of these patients, 33 had a history of previous delayed sphincter repair. A patent sphincter lesion was detected by EAUS in 128 patients. The EAUS finding did not influence the SNM test phase outcome (p=0.129) or the final treatment outcome (p=0.233). Patient's history of prior sphincter repair did not have a significant effect on the SNM test (p=0.425) or final treatment outcome (p=0.442).ConclusionsResults of our study indicate that a sphincter lesion or previous sphincter repair has no significant effect on the outcome of SNM treatment. Our data suggests that delayed sphincter repair prior to SNM treatment initiation for FI is not necessary.
Databáze: OpenAIRE
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